Provider Demographics
NPI:1376972745
Name:MCMAHON, BRENDA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:LYNN
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:162 BRICKYARD RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3067
Mailing Address - Country:US
Mailing Address - Phone:724-687-0567
Mailing Address - Fax:724-687-0568
Practice Address - Street 1:162 BRICKYARD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3067
Practice Address - Country:US
Practice Address - Phone:724-687-0567
Practice Address - Fax:724-687-0568
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD065067L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation